Evaluation reports are either openly accessible via pdf download, or accessible via MSF's internal Sharepoint, which is mainly due to the sensitive nature of the operational contexts and resulting content. However, there are ongoing discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as




Through an analysis of the events that have marked MSF’s history since 2003, this series of case studies and historical accounts describes the evolution of MSF's humanitarian ambitions, the resistance to these ambitions and the political arrangements that overcame this resistance (or that failed to do so).

edited by Claire Magone, Michaël Neuman, Fabrice Weissman

MSF OCB commissioned an extensive multi-sectoral critical review of its Ebola intervention. The summary report highlights key findings from all specific reports and draws global conclusions. Lessons have been identified both, for future large scale emergency responses as well as for a next Ebola response. Many of lessons identified are not entirely new, but their importance has been strongly accentuated by the extremity of this health crisis. Priority recommendations are listed in the summary report, while specific recommendations are made in the respective reports.

The following persons have contributed to this report: Virginie Adams, Dr Marie-Pierre Allié, Pierre Beurrier, Murray Biedler, Elio de Bonis, Prof. Robert Colebunder, David Curtis, Gillian Dacey, Veronique de Clerck, Dr Javier Gabaldon, Xavier Henry, Francois Mounis and Veronica Sanchez.

During the 2014-2015 Ebola virus disease outbreak in West Africa, MSF built a number of Ebola Treatment Centres (ETCs). MSF set up centres in the three countries at different moments and with different MSF Operational Sections, which resulted in a heterogenic collection of solutions. This review was conducted jointly for all MSF operational centers (OCs). It was commissioned by OCA and was conducted as part of the OCB Ebola review. 

This publication was produced at the request of MSF OCA coordinated within a broader review on OCB's response to the Ebola emergency, under the management of the Stockholm Evaluation Unit. It was prepared independently by Veronica Sanchez Carrera.

L'évaluation fait partie de l'accord de financement avec le bailleur. En outre, étant donnés les changements que le projet a vécu récemment, le moment est opportun pour évaluer les stratégies mises en place afin de fournir de nouvelles recommandations pour la mise en œuvre du projet en Guinée. L'évaluation englobe aussi le renforcement des structures de santé périphériques.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Miranda Brouwer of PHTB Consult.

MSF is one of the pioneering organisations to implement HIV & AIDS related interventions including ART in different settings. Understandably, the organisation is thus often solicited to provide information on cost analysis of programs. This is the purpose of this study into 3 different MSF HIV/AIDS programs: Kenya, DRC and Malawi. The present study proposes a detailed description of the cost for the HIV/AIDS program in Thyolo in Malawi for the period of time from 2005 to 2007. The methodology used is inspired by the “Activity based costing” (ABC approach)

Guillaume Jouquet

This evaluation is best understood as a peer review aimed at learning from the experiences of 3 different sections of MSF operating HIV/AIDS programmes in Malawi. Our aim was to evaluate how specific differences in objectives might impact on programme strategies and whether these differences would be relevant when assessing programme outcomes. The general issues of interest were decentralisation, simplification and task shifting in relation to the expansion of ART services.

Richard Bedell, Jean-Marc Biquet, Alexandra Calmy

MSF's HIV/AIDS project in Thyolo district, Malawi was one of the MSF movement's earliest efforts to address HIV/AIDS in sub-Saharan Africa, beginning in 1997. The handover of project responsibilities from MSF Luxembourg to MSF Belgium took place in 2005. MSF Belgium agreed to undertake this external evaluation of the project with the goal of assessing the project's performance, identifying constraints preventing the achievement of its goals, and proposing recommendations to improve overall effectiveness.

David Evans

MSF Operational Centre Barcelona Athens (OCBA) conducted an evaluation of MSF’s withdrawal from Liberia and the transfer of the Benson Hospital – managed since 2005 by MSF OCBA - to the Ministry of Health. The aim is to gain knowledge through this handover process. The preceding evaluation on the Benson Hospital project, carried out in August 2008 (S. Delaunay; S Girvin) recognised that, for MSF OCBA, deciding on the most appropriate withdrawal process would be a challenge.

Géraldine Brun

En juin 2009, une évaluation finale des 3 années de projet de MSF-CH (2005 à 2008) à Dabola en Guinée a été menée afin (i) d’en documenter les stratégies et (ii) d’en faire une analyse critique en termes d’accès auxsoins, de perception, de durabilité et d’impact.


The objective of the report is to learn how effective MSF's mental health intervention is, from a beneficiary perspective; to determine how effective the overall strategy/approach used by MSF was, in responding to the psychosocial needs identified in the target community.

Ruwanpura, E., Strang, A. and Giesen, P. (ed.)